DR. ROBERT STEPHEN HOLLOWAY III


Address: 25 Burncoat St, 25 Burncoat St., Worcester, MA 01605-1800
Phone: 5088538230

DR. ROBERT STEPHEN HOLLOWAY III (NPI# 1205916889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205916889
Entity Type Individual
Full Name DR. ROBERT STEPHEN HOLLOWAY III
Credential EDD
Practice Address 25 Burncoat St
25 Burncoat St.
Worcester
MA 01605-1800
Practice Telephone 5088538230
Practice Fax Number 5088538205
Mailing Telephone 5088538230
Mailing Fax Number 5088538205
Enumeration Date 2006-10-17
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
1029 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 0506923 05

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Office Location

Street Address 25 BURNCOAT ST
25 BURNCOAT ST.
City WORCESTER
State MA
Zip Code 01605-1800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942471263 Richard W Cross Psychologist 25 Burncoat St, Worcester, MA 01605-1800 2008-03-13
1326530197 Evans William Tsoules Psychologist 25 Burncoat St, Worcester, MA 01605-1800 2018-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083228340 Francisca A Bediako Registered Nurse Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 2020-09-03
1922660646 Jenna Patricia Mullarkey Counselor Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 2019-07-02
1295219293 Valerie Ann Wedge Social Worker 382 Plantation Street, Worcester, MA 01605 2018-09-17
1154800290 Keri Innis-grant Counselor 108 Grove Street, Ste Ll11, Worcester, MA 01605 2018-08-09
1184119463 Madiinah Namutebi Registered Nurse 56 Olga Ave, Worcester, MA 01605 2018-06-28
1841789310 Ashley Murray Psychologist 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 2018-05-09
1184126419 Nadia Saforo Nurse Practitioner 509 Plantation St Apt 221, Worcester, MA 01605 2018-03-02
1548779044 Arnold Kamau Thuku Behavioral Analyst 55 Erie Ave, Worcester, MA 01605 2017-09-27
1417466483 Sabine Erica Charles-arbouet Registered Nurse 25 Oriol Drive, Worcester, MA 01605 2017-09-21
1548787864 Alyssa Lynn Champagne Behavioral Analyst 19 Judson Rd, Worcester, MA 01605 2017-08-28
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275014391 Stephen J Wilk II Psychologist 345 Greenwood St Ste A, Worcester, MA 01607-1767 2018-08-27
1902382153 Abigail Baffour Kyei Psychologist 345a Greenwood Street, Suite B, Worcester, MA 01607 2018-07-11
1023546736 Caitlin Sheehan Psychologist 345 Greenwood St, Worcester, MA 01607-1767 2017-05-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1679006530 Rose Drew Psychologist 54 Kingman St, East Taunton, MA 02718-1408 2017-04-07
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1922305093 Jessica R Everett Psychologist 461 River Rd, Andover, MA 01810-4213 2011-02-24
1003131178 Alan Harchik Psychologist 239 Aubinwood Rd, Amherst, MA 01002-1627 2010-04-01
1073847448 Daniel Ndungu Psychologist 42 Hampshire St, Lowell, MA 01850-2020 2009-10-01
1437351699 Michael Lowry Psychologist 343 West St, North Hatfield, MA 01066 2007-06-01
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Competitor

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City WORCESTER
Zip Code 01605

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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